Homestead_Longabaugh (3) FORM HC 1D 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX. CREDIT FOR YEAR 19 if
SEE BACK
K/ FOR L
OR FILING INSTRUCTIONS •
Ilk (We) � le.
`ti`cerify that on the 1st day of
arch, 19 $f I, (Weil occupied Ai our principal place of residence a following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial intt rest in the taxpayer Lid I
Property Description in /� � County W ' Township
Taxing District (City, Town, Township):
Parcel Number or legal description shown on tax statement:
- E . EtJ1- G- . /5g P¢— / s-? p -.04
If buying on 'contract: Owners name (tee simple owner) IS`P
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
/thereby certify the above statement is true, correct and complete. //
��: . _ , w - 3-3- N, / . ,17. ‘ 57()
•ipnature 3 r '-treet Address 0 City. State and Zip Code
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed • Homestead
Value Valuation a o a Valuation
Land not exceeding 1 (one)- acre immediately
surrounding residential improvements (1) 3 Co o --' gir Tens—
Other Land (2) — /C .
Total Land (3) 3 (o o l_� . .,f
Residential Improvement s Dwelling (4) 'to 3 o ��� ��
ii (5) —1-f-O' j2/jam/� i%I/
MAY 11 1981 Garage
Total (6) 9 I 'f cD 13 3 0. A 3•-6-�
Other Improvementse (�6) o� �td Is (') (8) a -l- o
I*
by certify the above is true. correct. and complete. 34 .0 Ur
Signature of Assessor V C=' Date
I
- ACTION BY AUDITOR -
Approved: Date:
SIATE FORM 5.1"b•1R_/s,rl WFE45ZJIFR FORM TS-IA
APPROVED BY sikTE WARD OF-Ctt!NtS.!, A PtIYTtam BYin[DEPanterror urn GovEtNMrh'r mks:aw41.1-raj
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples. limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ear for homestead fraud.Ilomestead fraud causes higher tat bills for all:therefore.
0 HEA I?44-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow eounty gomemntent to better monitor homestead
filings.This information will he kept confidential and can only he acceissed by authorized county officials.The Depunntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Longabaugh, Charles R/Janice K
709E Center
I lazleton IN 47640
153
Charles R/Janice K Longabaugh
709 E Center State Parcel Number Legal Description
Hazleton IN 47640-8806
�I�II��FII�t��FII�II���ttt�Ft�t�t t�t��t ttt��t r��tPt�t�tr�t t�t� 26-02-49-101-000.215-019 014-00215-00 E ENLG 156/157/158
PART 2:TAXPAYER INFORMATION .
Owner I I First Q Middle Last
GNU/ lJ es /-ObZr-i- Longa La 4-51-
tg Address(number and street.city.stateC and//ZIP code)-- - — - -. _ _ —hi Snore us piopcity nddre
'70 9 I Cen'/er V. 17b&/-6/O11 �A) 47G c LJ
Spouse First Middle / Last
Jan/1 CC Ha c 1-onia.ba.u.:�L
Mailing Address(Number and street,city,state,and ZIP code) 1-1 Came as properly address
70 9 E de„-fee 5/. 14'1e/oil SA) 4744 L�
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I t e Date l
PART 4:ADDITIONAL INFORMATION